by Kamyar Shah | Apr 20, 2026 | Healthcare
Acupuncture practices operate on thinner margins than most healthcare practices, which means operational inefficiencies that would be tolerable at a larger scale are practice-threatening at the acupuncture practice level. A revenue cycle that runs at 85 percent...
by Kamyar Shah | Apr 16, 2026 | Car Dealership
Car dealership marketing has changed more in the past five years than in the previous twenty. The buyer who walks your floor today has already visited 4.2 websites, watched 3 or more video reviews, and spent an average of 14 hours online before making contact. They...
by Kamyar Shah | Apr 13, 2026 | Dental Office
A dental practice can produce outstanding clinical work and still underperform financially. Production numbers that look strong at the end of the month become disappointing when collections are calculated. A full schedule becomes a revenue shortfall when same-day...
by Kamyar Shah | Apr 9, 2026 | Healthcare
Local medical practices hit a predictable wall at a specific growth threshold. The practice that ran efficiently when the founding physician was present for every decision, every billing question, and every staff conflict starts fracturing when a second location opens...
by Kamyar Shah | Apr 6, 2026 | Healthcare
Most medical practices are clinically excellent and operationally fragile. The physician who built the practice spent years mastering clinical competency and very little time building the operational systems that translate clinical output into financial results....
